SHANIQUE ABIGAIL FEARON-JACK NP
NPI 1073244950
Nurse Practitioner in Cleveland, OH

Q: What is Shanique Fearon-jack's NPI number?

The NPI number for Shanique Fearon-jack is 1073244950. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Q: What is Shanique Fearon-jack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 21, 2022PECOS EnrolledAccepts Medicare Assignment

2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: February 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2025, Nov 6, 2023 (2 updates tracked since 2023).

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About Shanique Abigail Fearon-jack Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANIQUE ABIGAIL FEARON-JACK NP (NPI 1073244950) is an individual nurse practitioner in Cleveland, Ohio, licensed in Ohio (APRN.CNP.0030958) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073244950

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANIQUE ABIGAIL FEARON-JACKCredential: NP

Location Address2500 METROHEALTH DRCleveland, OH 44109-1900

Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (216) 383-2834

Phone(216) 778-7800

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 21, 2022

Last NPPES UpdateFebruary 8, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2025

✔ NPI 1073244950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · APRN.CNP.0030958

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2500 METROHEALTH DR, Cleveland, OH 44109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shanique Abigail Fearon-jack Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739560194

PECOS Enrollment IDI20231121001380

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

30 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Metrohealth System

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360059

Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIR RAZAVI MD

Internal Medicine